Inspection · 2022-06-14

Based on record review 4 of 5 children's records reviewed did not contain documentation of a physical examination by or under the direction of a physician.
Evidence:
Children 1, 2, 3, and 4's records did not contain documentation of a physical examination by or under the direction of a physician.

Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children.
Evidence:
A canister of disinfectant wipes were observed in an unlocked drawer in a bathroom used by children.

Based on observation, children under 10 years of age were not within actual sight and sound supervision of staff.
Evidence:
1. The staff member supervising children in the classroom left 11 children unsupervised for a period of approximately one minute to answer the door.
2. Children were observed coming upstairs from the downstairs classroom unsupervised.

Based on observation and record review, the ratio for two-year old children, of one staff member for every eight children was not followed.
Evidence:
On the date of inspection a mixed aged classroom with children aged as young as two years old had 11 children supervised by one staff member.

Based on observation and staff statement, requirements were not met for the use of diaper ointment cream.
Evidence:
There were no written authorizations for diaper cream present in the center on the date of inspection.

Based on record review 5 of 5 children's records reviewed di not contain all required information.
Evidence:
1. Child 1's record did not contain:
documentation of viewing the child's identity and age, first date of attendance.
2. Child 2's record did not contain:
documentation of viewing the child's identity and age, first date of attendance, the phone number for one of the listed parents.
3. Child 3's record did not contain:
documentation of viewing the child's identity and age, first date of attendance, the place of employment for each parent listed, the addresses of two persons to contact in the event that a parent cannot be reached.
4. Child 4's record did not contain:
the child's first date of attendance.
5. Child 5's record did not contain:
the place of employment for one of the listed parents, the child's first date of attendance.

Based on record review, there written agreement by the parent and the center did not include required information.
Evidence:
The records for child 1, 2, 3, 4, and 5 did not include authorization for emergency medical care, a statement that the center will notify the parent when a child becomes ill, and a statement that the parent will inform the center of communicable diseases to the center within 24 hours.

Based on record review, there was not at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.
Evidence:
On the date of inspection no documentation was presented to confirm that any staff member present has obtained within the last three years instruction in performing the daily health observation of children.

Based on observation, medication was not kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1. Bottles containing antacids and vitamins were observed on an open shelf in a classroom with children present.
2. An unlocked cabinet containing various medications, and medicated topical ointments was observed in the office.

Based on record review, the center did not implement a monthly practice evacuation drill.
Evidence:
There was no practice evacuation drill documented for May 2022.